Social Worker Referrals for Diabetes

Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of Toronto
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if meeting with a social worker can help older adults with diabetes feel less lonely and improve blood sugar control. Participants will either receive a referral to a social worker (Social Worker Referral) or continue their usual diabetes care. The study will examine changes in loneliness and blood sugar levels (A1C) over six months. This trial suits seniors with diabetes who often feel lonely. As an unphased trial, it provides a unique opportunity for participants to contribute to understanding the impact of social support on diabetes management.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications. It seems likely that you can continue your usual diabetes care while participating.

What prior data suggests that referral to a social worker is safe for older adults with diabetes?

Research has shown that social support, such as meeting with a social worker, benefits people with diabetes. Studies suggest that this support leads to better health outcomes for those living with the condition. Social workers assist in managing social challenges that might impact health, including loneliness and other social risks.

One study examined the effects of meeting with social workers on diabetes management. It found that these meetings addressed various patient needs and improved diabetes control. This is crucial because effective diabetes management can enhance overall health.

Overall, evidence indicates that social support, including referrals to social workers, is generally safe and beneficial for people with diabetes. There are no significant reports of harm from this type of support.12345

Why are researchers excited about this trial?

Researchers are excited about the social worker referral intervention for diabetes because it explores a novel approach to managing the condition. Unlike traditional treatments that focus primarily on medication or lifestyle changes like diet and exercise, this approach emphasizes the role of social support in patient care. By referring patients to social workers, the intervention aims to address social determinants of health, which can significantly impact diabetes management. This method could lead to more holistic and personalized care, potentially improving outcomes for those struggling with diabetes.

What evidence suggests that social worker referrals are effective for improving well-being and blood sugar control in older adults with diabetes?

This trial will compare the effects of continuing primary care with the intervention of social worker referrals for diabetes management. Studies have shown that social support can improve health for people with diabetes. Research indicates that assistance from community health workers can lead to better blood sugar control, including lower A1C levels, which measure long-term blood sugar. Recommendations for including social care in diabetes management have been linked to better health outcomes. Programs with community health workers consistently demonstrate benefits in managing diabetes effectively. Overall, evidence suggests that social support, such as referrals to social workers, may enhance both social well-being and diabetes management.12678

Who Is on the Research Team?

RW

Rachel Walsh, MD CCFP

Principal Investigator

Sunnybrook Health Sciences Centre

Are You a Good Fit for This Trial?

This trial is for older adults who have diabetes and are feeling lonely. People cannot join if they have dementia or a serious mental or medical illness.

Inclusion Criteria

Diabetes, lonely

Exclusion Criteria

Dementia, acute psychiatric or medical illness

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (virtual or in-person)

Randomization

Participants are randomly assigned to either the intervention or control group

1 week

Intervention

Participants in the intervention arm receive a structured referral to a primary care social worker

6 months
Individualized follow-up (in-person or virtual)

Follow-up

Participants are monitored for changes in A1C and loneliness scores

6 months
Routine clinical visits

What Are the Treatments Tested in This Trial?

Interventions

  • Social Worker Referral

Trial Overview

The study compares two groups: one group gets referred to a social worker to help with loneliness, while the other continues their usual diabetes care. Participants are randomly assigned to each group.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Intervention armExperimental Treatment1 Intervention
Group II: Continue primary careActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Toronto

Lead Sponsor

Trials
739
Recruited
1,125,000+

Citations

The Impact of Social Support on Health Outcomes of Diabetic ...

Numerous studies have investigated the relationship between social support and diabetes health outcomes, suggesting that social support can ...

Referral for Diabetes Self‐Management Education and ...

The purpose of this integrative review was to identify effective diabetes self-management education and support for increasing adult primary ...

Social Care Recommendations in National Diabetes ... - PMC

Ensuring that practice guidelines more consistently reflect social care best practices may improve outcomes for patients living with T2D.

Interventions Engaging Community Health Workers

Overall findings demonstrated that interventions engaging CHWs improved glycemic control (A1c, proportion at goal) and fasting blood glucose, and reduced ...

Impact of community health workers on diabetes ...

This program was effective in improving diabetes management among patients living in diabetes-burdened communities, and the effects were persistent throughout ...

Public Health Research and Program Strategies for ...

Research has identified effective, scalable interventions to address modifiable risk factors such as poor diet, obesity, and physical inactivity.

Care Management For Patients With Type 2 Diabetes

In summary, diabetes processes and outcomes can improve modestly with patient education and self-management support (coaching). The largest ...

2022 National Standards for Diabetes Self-Management ...

The DSMES team will monitor and communicate the outcomes of the DSMES services to the diabetes care team and/or referring physician/other ...